During an inspection of Electric Mobility Corp. (hereafter, "you" or "your firm"), located at 599 Mantua Boulevard, One Mobility Plaza, Sewell, NJ, from January 10 until February 2, 2006, an investigator from the Food and Drug Administration (FDA) determined that you manufacture and distribute electric scooters and powered wheelchairs. These products are medical devices within the meaning of section 201(h) of the Federal Food, Drug, and Cosmetic Act (hereafter, "the Act") (21 U.S.C. § 321(h)).

The inspection revealed that your devices are adulterated within 'the meaning of section 501(h) of the Act (21 U.S.C. § 351(h)), in that the methods used in, or the facilities or controls used for manufacturing, packaging, storage, or installation are not in conformance with the Quality System (QS) regulation for medical devices as set forth in Title 21, Code of Federal Regulations (C.F.R.) Part 820. The deviations from QS regulation include, but are not limited to, the following:

1. Failure to review, evaluate, and investigate all complaints involving the possible failure of a device to meet any of its specifications and a failure to promptly review, investigate, and evaluate all complaints that represent an event which must be reported to FDA under 21 C.F.R. Part 803, the Medical Device Reporting regulation, as required by 21 C.F.R. §§ 820.198(c) and (d). Specifically, your firm's Quality Personnel are not routinely reviewing the complaints recorded in your Problem Log Database to determine if these complaints represent an event that must be filed as a Medical Device Report under 21 C.F.R. Part 803. For example, customer complaints that were entered into your problem log reported broken seatlift bolts and screws that came loose and fell out of your electric scooters. These complaints were not reviewed and evaluated by your firm for possible injuries or malfunctions that would be likely to cause or contribute to death or serious injury if the malfunctions were to recur.

2. Failure to identify the action(s) needed to correct and prevent recurrence of nonconforming product and other quality problems, as required by 21 C.F.R. § 820.100(a)(3). Specifically, Corrective/Preventive Action Request # 05010 (dated July 12, 2005) failed to correct and prevent the recurrence of seats breaking off with broken or loose seat lift bolts/screws for your Rascal 600F and 600T Scooters, for which [redacted] units were distributed and are suspected of having potential nonconformities. For example, complaints 319 (incident occurred September 5, 2005), 306 (incident occurred September 15, 2005), and 320 (incident occurred September 15, 2005) reported customers falling off your scooters and suffering injuries such as scratches and bruises. Furthermore, during a meeting at the New Jersey District Office on April 24, 2006, your firm stated that you continue to receive complaints where your findings from your CAPA(CPAR # 05010) investigation were incorrect.

3. Failure to implement procedures to ensure that all purchased or otherwise received product and services conform to specified requirements, and failure to have purchasing documents that include an agreement from the suppliers that they will notify you of changes in the product or service, as required by 21 C.F.R.§§ 820.50(a) and (b). Specifically, your firm does not have an agreement from your supplier of seatlift, [redacted] to ensure that the seatlift [redacted] conform to specifications. For example, there is no agreement from [redacted] that requires them to notify your firm of any changes made to the seatlift [redacted]. Also, your firm failed to ensure that only acceptable products were received for your Rascal Scooters.

4. Failure to fully document rework and reevaluation activities, including a determination of any adverse effect from the rework upon the product, in the device history record, as required by 21 C.F.R. § 820.90(b)(2). Specifically, your firm did not have any rework/reevaluation data demonstrating that you reinspected the replacement seatlift [redacted] for Rascal Scooter serials #R6QR014652. and R6QR0070037 after the seatlift [redacted] were reworked.

5. Failure to implement procedures to control the design process of the device in order to ensure that specified design requirements are met, as required by 21 C.F.R. § 820.30. Specifically, your firm failed to adequately control the design changes made to your seatlift [redacted] by your vendor in May of 2004. During FDA's most recent inspection, your firm stated that the vendor made a change to the [redacted] of the [redacted]. This change resulted in an increase in complaints or your Rascal Scooters, including complaints of seats wobbling and seats breaking off of the scooter. Furthermore, your firm's incoming inspection records document that your seatlift [redacted] did not meet your design requirements for [redacted]and [redacted].

Additionally, FDA's most recent inspection revealed that your electric Rascal Scooters are misbranded within the meaning of Section 502(t)(2) of the Act (21 U.S.C.§ 352(t)(2)), because your firm did not submit a report of correction or removal to FDA, as required by Section 519(f)(1) of the Act (21 U.S.C. § 360i(f)(1)). The Correction and Removal Regulation (21 C.F.R. Part 806), which was promulgated under Section 519(f)(1) of the Act, requires rnanufacturers and importers to submit a written report to FDA of any correction or removal of a device to reduce a risk to health . See 21 C.F.R.§ 806.10(a). This written report must be submitted to FDA within ten (10) working days of initiating such correction or removal. See 21 C.F.R. § 806.10(b).

Your firm attempted to correct wobbling and broken seatlifts on your scooters using reworked seatlift [redacted]. This is an attempt to make a correction that reduces the risk to health posed by the scooter. Indeed, your firm was receiving complaints that included customers falling off of their scooters, which resulted in scratches and bruises. Accordingly, your failure to report the product correction or removal to FDA (the correction of the seatlift actuators took place between and including January 2005 to December 2005) is a violation of 21 C.F.R. § 806.1 0(a)(1).

FDA has received your written responses, dated February 21, 2006, April 12, 2006, April 19, 2006, and May 1, 2006, to the List of Inspectional Observations ("Form FDA-483") that was issued to you at the end of FDA's most recent inspection of your firm. These responses, however, do not establish that you have adequately corrected your violations of the Act.

Your responses to observations one and two in the Form FDA-483 are not adequate because your firm has not prevented seats from breaking off of the nearly [redacted] Rascall 600 F and 600T Scooters that your firm has distributed. Your CPAR # 05010 investigation documents that you have known about these device non-conformances since July 12, 2005. However, you have failed to identify the action(s) needed to correct and prevent recurrence of non-conforming product and other quality problems. One of your responses to observation one in the Form FDA-483 also states that your problem log, in which you record your complaints, will be reviewed by your quality assurance staff once a month. This review is not adequate. Any event that must be reported to FDA under, 21 C.F.R. Part 803, must be promptly reviewed, evaluated, and investigated.

Your responses to observations three, four, and six in the Form FDA-483 are not adequate because your proposed changes to the seatlift [redacted] were not evaluated under design controls that ensure that the changes are appropriate and that the device will perform as intended. Your responses also indicate that you have not made any changes to your seatlift [redacted], however, your firm has performed approximately" reworks regarding the seatlift [redacted], and it continues to receive complaints. Furthermore, your supplier-history log for your vendor indicates that the seatlift [redacted] do not meet design requirements (i.e., [redacted])

Your responses also contain contradictory information. Your February 21, 2006 response states that your firm has recorded [redacted]incidents relating to loose hardware [redacted] or missing hardware [redacted]. Furthermore, your firm has performed approximately [redacted] reworks of the seatlift; [redacted] reworks were reported for January 4, 2006, and [redacted] were reported for January 24, 2006). However, your April 19, 2006 response indicates that only one of the medical device reports that you filed for your Rascal Scooters was due to a seatlift [redacted] failure. Moreover, your responses dated April 12, 2006, and May 1, 2006, indicate that none of the medical device reports that you filed for your Rascal Scooters were due to seatlift [redacted] failures.

Finally, your May 1, 2006 response has not provided any more assurance than the previous three responses that the seatlift [redacted] will not fail. For example, your May 1, 2006 response states that your seatlift [redacted] will not fail because the screws are [redacted]. This response, however, is not adequate because your firm received seatlift [redacted] from your vendor that did not have the [redacted] to some of the bolts and/or screws. Therefore, all of the screws and/or bolts cannot be [redacted].

This letter is not intended to be an all-inclusive list of deficiencies at your facility. It is your responsibility to assure adherence to each requirement of the Act and regulations. The specific violations noted in this letter and on the Form FDA-483 issued at the conclusion of the inspection may be symptomatic of serious underlying problems within your establishment's quality system. You are responsible for investigating and determining the causes of the violations identified by the FDA. If the causes are determined to be system problems, you must promptly initiate permanent corrective and preventive actions.

Federal agencies are advised of the issuance of all Warning Letters about devices so that they may take this information into account when considering the award of contracts. Also, no requests for Certificates to Foreign Governments will be approved until the violations related to the subject devices have been corrected.

You should take prompt action to correct these deviations. Failure to promptly correct these deviations may result in regulatory action being initiated by the FDA without further notice to you. These actions include, but are not limited to, seizure, injunction and/or civil monetary penalties.

Please notify this office in writing, within fifteen (15) working days of receipt of this letter, of the specific steps you have taken to correct the noted violations, including an explanation of each step being taken to identify and make corrections to any underlying systems problems necessary to assure that similar violations will not recur.